Grek Ami, Arasi Lisa
Ami Grek is Nurse Practitioner, Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224 (
AACN Adv Crit Care. 2016 Oct;27(4):420-429. doi: 10.4037/aacnacc2016324.
Acute liver failure, also known as fulminant hepatic failure, is a rare life-threatening disease that has a high mortality rate and affects many organ systems. Causes of acute liver failure vary-it can be attributed to drugs, viruses, and other uncommon sources. Complications of liver failure can include encephalopathy, cerebral edema, sepsis, renal failure, gastrointestinal bleeding, and respiratory failure. Fortunately, with advances in critical care medicine and emergent liver transplant, mortality rates have decreased in the past decade. This article reviews acute liver failure, its manifestations in different organ systems, and its treatment.
急性肝衰竭,又称暴发性肝衰竭,是一种罕见的危及生命的疾病,死亡率高,会影响多个器官系统。急性肝衰竭的病因各不相同,可归因于药物、病毒和其他不常见的因素。肝衰竭的并发症可能包括肝性脑病、脑水肿、败血症、肾衰竭、胃肠道出血和呼吸衰竭。幸运的是,随着重症医学和紧急肝移植技术的进步,过去十年的死亡率有所下降。本文综述了急性肝衰竭、其在不同器官系统中的表现及其治疗方法。